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Head and Neck: Parathyroid

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Atlas of Fine Needle Aspiration Cytology

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Abstract

FNAC is of limited value in the preoperative assessment of patients with hyperparathyroidism. Majority FNA of parathyroid lesions is unintended, as intrathyroidal parathyroid adenomas and parathyroid cysts are often mistaken for thyroid lesions. Many investigators have stressed the difficulty in discerning thyroid from parathyroid in FNA smears. However, ultra sound (US)-guided FNA of the parathyroid is helpful in patients with persistent hypercalcemia after failed surgery when the neck anatomy is distorted and in patients with atypical or intrathyroidal parathyroid gland location. US-guided FNA may be also useful to localize parathyroid lesions in recurrent disease and to distinguish abnormal parathyroid glands from lymph nodes.

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Authors and Affiliations

  1. Department of Pathology, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland

    Elwira Bakuła-Zalewska

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  1. Elwira Bakuła-Zalewska
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Correspondence to Elwira Bakuła-Zalewska .

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  1. Department of Pathology, Skåne University Hospital, Lund, Sweden

    Henryk A. Domanski

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Bakuła-Zalewska, E. (2019). Head and Neck: Parathyroid. In: Domanski, H. (eds) Atlas of Fine Needle Aspiration Cytology. Springer, Cham. https://doi.org/10.1007/978-3-319-76980-6_6

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  • DOI: https://doi.org/10.1007/978-3-319-76980-6_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-76979-0

  • Online ISBN: 978-3-319-76980-6

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